| NPI | 1194282061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209026128) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5011514) |
| 363L00000X Nurse Practitioner (Licence: MD R242201) | |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2024-11-04 |